Search › Michigan › 207V00000X
Anthony Boutt, MD
NPI 1710981071 · on the registry since 2005
Practice
- Address
- 22250 Providence Dr
408
Southfield, MI 48075 - Phone
- (248) 465-4470
- Fax
- (248) 465-4471
- Organisation at this address
- Aad, Pllc
Tara Scott, Pc
Jian Zu Md Pllc
Tara Scott Dpm Pc
Kevin Nolan Md PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 273
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-12-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan